MT. VERNON COMMUNITY HEALTH CENTER NPI 1144517863

NPI Information

NPI: 1144517863
Provider Name: MT. VERNON COMMUNITY HEALTH CENTER
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
1655 N MOUNT VERNON AVE
SUITE C
SAN BERNARDINO, CA
ZIP 92411
Phone: (909) 586-6271
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MT. VERNON COMMUNITY HEALTH CENTER is a community health clinic center in San Bernardino, CA. MT. VERNON COMMUNITY HEALTH CENTER NPI is 1144517863. The provider is registered as an organization entity type.

The provider's business location address is:

1655 N MOUNT VERNON AVE
SUITE C
SAN BERNARDINO, CA
ZIP 92411-427
Phone: (909) 586-6271
Fax: (888) 777-0807

The provider's authorized official is Ruzan Gevorkyan .
The authorized official title is President/ceo and has the following contact phone number (909) 586-6271.

The enumeration date for this NPI number is 7/1/2011 and was last updated on 7/1/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care		CALIFORNIA	No
2	261QC1500X	Clinic/Center	Community Health		CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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